Active NPI
Clifford W Toliver MD PA
- Obstetrics & Gynecology Physician
- East Orange, NJ
National Provider Identifier
1780863290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MA33187
- Legal business name
- CLIFFORD W TOLIVER MD PA
- Practice address
- 310 Central Ave
Ste 201
East Orange, NJ 07018-2835 - Phone
- (973) 676-6207
- NPI assigned
- Oct 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Clifford W Toliver, MD
- Title
- Owner
- Phone
- (973) 676-6207
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MA33187 | NJ | Primary |
Addresses
Primary practice location
310 Central Ave
Ste 201
East Orange, NJ 07018-2835
Mailing address
310 Central Ave
Ste 201
East Orange, NJ 07018-2835
Phone (973) 676-6207
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7958501 | Medicaid | NJ | |
| 034298 | Other | NJ | MEDICARE |
National Provider Directory
National Provider DirectoryLocations
310 Central Ave
Ste 201
East Orange, NJ 07018
Phone (973) 395-4150
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254182400000",
"number": "1780863290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 CENTRAL AVE",
"address_2": "STE 201",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070182835",
"telephone_number": "973-676-6207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 CENTRAL AVE",
"address_2": "STE 201",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070182835",
"telephone_number": "973-676-6207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLIFFORD W TOLIVER MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-31",
"last_updated": "2009-09-29",
"status": "A",
"authorized_official_last_name": "TOLIVER",
"authorized_official_first_name": "CLIFFORD",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-676-6207",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "MA33187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7958501",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "034298",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.